This paper presents a review of the various aeronautical air conditioning systems that are currently available and discusses possible system configurations in the context of the aeronautical environmental control systems. Descriptions of the standard vapor compression cycle and air cycles are provided. The latter includes, simple-cycle, bootstrap-cycle, simple-bootstrap cycle (3-wheel) and condensing cycle (4-wheel). Water separation and air recirculation systems are also explored. A comparison between vapor compression cycles and air cycles is provided, as well as a comparison between different air cycles. Air cycle units are far less efficient than vapor compression cycle units, but they are lighter and more reliable for an equivalent cooling capacity. Details regarding the aircraft conceptual design phase along with general criteria for the selection of an air conditioning system are provided. Additionally, industry trends and technological advances are examined. Conclusions are compiled to guide the systems engineer in the search for the most appropriate design for a particular application.